DR. JAMIE LYNN CARLO-DEMOVICH (NPI# 1184703266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184703266 |
| Entity Type | Individual |
| Full Name | DR. JAMIE LYNN CARLO-DEMOVICH |
| Credential | MD |
| Practice Address |
200 Hospital Dr Galax VA 24333-2227 |
| Mailing Address |
Po Box 21569 Roanoke VA 24018-0568 |
| Practice Telephone | 2762361690 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2017-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
0101245432 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5911785 | 05 | |
| VA | 1184703266 | 05 | |
| NC | BCBS OF NC | 153C1 | 01 |
| Street Address |
200 HOSPITAL DR |
| City | GALAX |
| State | VA |
| Zip Code | 24333-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728980 | Ann Marie Harman | Anesthesiology | 200 Hospital Dr, Galax, VA 24333-2227 | 2005-05-24 |
| 1669000550 | Heather Nicole Thomas | Nurse Practitioner | 200 Hospital Dr, Galax, VA 24333-2227 | 2020-03-28 |
| 1871049460 | Anshika Rana | Hospitalist | 200 Hospital Dr, Galax, VA 24333-2227 | 2016-09-01 |
| 1376990937 | Tia Elaine Sexton | Registered Nurse | 200 Hospital Dr, Galax, VA 24333-2227 | 2016-05-24 |
| 1114337607 | Sujit Vakkalanka | Internal Medicine | 200 Hospital Dr, Galax, VA 24333-2227 | 2014-05-06 |
| 1992127328 | Zachary Lee Page | Nurse Practitioner | 200 Hospital Dr, Galax, VA 24333-2227 | 2014-01-21 |
| 1659709319 | Dlp Twin County Physician Practices LLC | Anesthesiology | 200 Hospital Dr, Galax, VA 24333-2227 | 2013-10-16 |
| 1790051688 | Dlp Twin County Physician Practices LLC | Nurse Practitioner | 200 Hospital Dr, Galax, VA 24333-2227 | 2012-03-26 |
| 1841566734 | Dlp Twin County Physician Practices LLC | Internal Medicine | 200 Hospital Dr, Galax, VA 24333-2227 | 2012-03-26 |
| 1295000222 | Dlp Twin County Regional Healthcare LLC | Anesthesiology | 200 Hospital Dr, Galax, VA 24333-2227 | 2012-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508872 | Family Preservation Services Inc. | Community/Behavioral Health | 140 D Larkspur Lane, Galax, VA 24333 | 2018-11-27 |
| 1215464292 | Emil William Sandstrom | Social Worker | 6999 Carrrolton Pike, Galax, VA 24333 | 2017-05-22 |
| 1548676505 | Ashley Allen Houk | Nurse Practitioner | 199 Hospital Dr Ste 7, Galax, VA 24333 | 2014-07-10 |
| 1043558745 | Oldtown Medical Care, LLC | Family Medicine | 306 Meadow St, Galax, VA 24333 | 2013-01-30 |
| 1447524152 | Karli Cathleen Meagher | Social Worker | 210 Calhoun Street, Galax, VA 24333 | 2012-02-27 |
| 1609003615 | Family Preservation Services, Inc | Community/Behavioral Health | 105 Rosenwald Felts Drive, Galax, VA 24333 | 2009-06-17 |
| 1730399452 | Stephen Earl Gause | Counselor | 6999 Carrollton Pike, Galax, VA 24333 | 2007-05-23 |
| 1326269903 | Rebecca L. Stanley | Counselor | 112 Painter Street, Galax, VA 24333 | 2007-05-01 |
| 1811075187 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1047 East Stuart Dr, Unit 18, Galax, VA 24333 | 2006-11-02 |
| 1497858872 | Ethan Young Jones | Dentist | 1001 E Stuart Drive, Galax, VA 24333 | 2006-09-07 |
| Find all providers in zip 24333 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869132 | Thomas Slade Whittle Jr. | Pathology | 200 Hospital Dr, Galax, VA 24333-2227 | 2005-05-27 |
| 1396748927 | James Christopher Britton IIi | Pathology | 200 Hospital Dr, Galax, VA 24333-2227 | 2005-05-27 |
| 1093718587 | Pathology Associates of Southwestern Virginia Inc | Pathology | 200 Hospital Dr, Galax, VA 24333-2227 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952821308 | Patricija Zot | Pathology | 1250 E Marshall St # 980662, Richmond, VA 23298-5051 | 2017-06-26 |
| 1508248949 | Rajeswari Jayakumar | Pathology | 403 N. 13th Street, Csc, Richmond, VA 23298 | 2015-06-22 |
| 1891192209 | Pepper Path LLC | Pathology | 45945 Trefoil Ln, Unit 175, Sterling, VA 20166-4343 | 2014-12-01 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1629481700 | David Phillip Lebel II | Pathology | 1 Riverside Cir Ste 105, Roanoke, VA 24016-4961 | 2014-06-06 |
| 1710304761 | Sara Ali Mustafa | Pathology | 3289 Woodburn Rd Ste 220, Annandale, VA 22003-7313 | 2014-03-27 |
| 1215376959 | Angela Yu-jye Wu | Pathology | 1215 Lee Street - Box Number 800214, Charlottesville, VA 22908-0001 | 2013-06-16 |
| 1043529365 | Alden W Dudley Jr. | Pathology | 5909 Winnbrook Dr, Roanoke, VA 24018-7903 | 2010-10-04 |
| 1649582412 | Vasavi Kaliki | Pathology | 4505 Yorkminster Dr, Glen Allen, VA 23060-6157 | 2010-07-09 |
| 1063737146 | William F. Enos, M.d., Pllc | Pathology | 10300 Spotsylvania Avenue, Suite 130, Fredericksburg, VA 22408 | 2010-04-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.